The Council for Medical Schemes (CMS) has announced that the Minister of Health has approved the inclusion of COVID-19 as a Prescribed Minimum Benefit (PMB) for which it has now released a definition guideline*.
The council lodged a draft amendment to the PMB regulations with the minister for the promulgation of COVID-19 into the PMB regulations in terms of section 67 (3) (b) to enable COVID-19 to form part of the PMB package.
“As this in the interest of the public,” the CMS notes in its guideline introduction, “it is being done on an urgent basis. As such, this document seeks to clarify the PMB entitlements of beneficiaries within the context of the pandemic and to ensure that there is uniform interpretation amongst all stakeholders.
“The document,” it adds, “is a recommendation for the screening, diagnosis, treatment and care of individuals with suspected and confirmed COVID-19 as per WHO case definitions. Identification of suspected cases is provided for later in the document.
*For access to the PMB Definition Guideline, click here .